CHELSEY MICHELLE PANGBORN (NPI# 1871192567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871192567 |
Entity Type | Individual |
Full Name | CHELSEY MICHELLE PANGBORN |
Credential | CTRS |
Practice Address |
4815 N Assembly St Bldg 31 Spokane WA 99205-6185 |
Practice Telephone | 5094347000 |
Mailing Telephone | 5094347000 |
Enumeration Date | 2020-10-22 |
Last Update Date | 2020-10-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225800000X | Recreation Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
4815 N ASSEMBLY ST BLDG 31 |
City | SPOKANE |
State | WA |
Zip Code | 99205-6185 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275027740 | Jill Sanders | Behavior Technician | 1104 West Wellesley, Spokane, Wa, United States, Ste D, Spokane, WA 99205 | 2018-06-19 |
1265981997 | Lorraine Jeanette Diricco | Registered Nurse | 1717 W Francis Ave Ste 204, Spokane, WA 99205 | 2016-09-22 |
1992156749 | Dane Sultzer | Optometrist | 1123 W Fairview Ave, Spokane, WA 99205 | 2016-06-23 |
1770975864 | Trevor George | Naturopath | 3710 N Monroe, Spokane, WA 99205 | 2015-02-26 |
1003246661 | Rita Y Flanagan | Psychologist | 4815 N Assembly St, Room B256, Spokane Va Medical Center, Spokane, WA 99205 | 2013-11-19 |
1649616277 | Mary Anyango Okello | Nurse's Aide | 3614 W. Wellesley Ave, Spokane, WA 99205 | 2013-05-22 |
1710242367 | Amy Clement | Dentist | 4815 N Assembly St., Spokane, WA 99205 | 2012-07-10 |
1114202082 | Teresa J Stella | Pharmacist | 3919 N. Maple St., Spokane, WA 99205 | 2011-10-11 |
1184905218 | James Anthony Carnell | Dentist | 4610 N. Ash St., (suite 204), Spokane, WA 99205 | 2011-09-02 |
1508150632 | Jennifer Leigh Knuston | Social Worker | 207 W Nora Ave, Spokane, WA 99205 | 2011-06-06 |
Find all providers in zip 99205 |
Taxonomy Code | 225800000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Recreation Therapist |
A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |
Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 7 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730653692 | John Welker | Recreation Therapist | 1312 N Monroe St Ste 114, Spokane, WA 99201-2623 | 2019-01-14 |
1689113631 | William Hawkes-robinson | Recreation Therapist | 1432 W Lawrence Dr, Spokane, WA 99218-2446 | 2017-02-22 |
1184066730 | Ann Christine Powell | Recreation Therapist | 4727 S Assembly Rd, Spokane, WA 99224-5925 | 2013-07-24 |
1104443746 | Danielle Lee Whitworth | Recreation Therapist | 1312 N Monroe St Ste 114, Spokane, WA 99201-2623 | 2020-06-30 |
1932617982 | Cathryn J Bouchard | Recreation Therapist | 3754 W Indian Trail Rd, Spokane, WA 99208-4736 | 2018-01-11 |
1245746403 | Tanner J Johnson | Recreation Therapist | 3754 W Indian Trail Rd, Spokane, WA 99208-4736 | 2017-12-22 |
1548794324 | Caitlynn Southerland | Recreation Therapist | 3754 W Indian Trail Rd, Spokane, WA 99208-4736 | 2017-04-18 |
1790167278 | Elise Flores | Recreation Therapist | 3754 W Indian Trail Rd, Spokane, WA 99208-4736 | 2015-06-22 |
1639118433 | Nancy Webster | Recreation Therapist | 711 S Cowley St, Spokane, WA 99202-1330 | 2006-06-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629624424 | Helda K Fuchs | Recreation Therapist | 9119 E Boone Ave Ste C, Spokane Valley, WA 99206-4061 | 2019-08-16 |
1154883338 | Northwest Fishing Partner Registry | Recreation Therapist | 9028 11th Pl W, Everett, WA 98204-2693 | 2019-04-05 |
1326526054 | Mani Dhami | Recreation Therapist | 31423 48th Ave S, Auburn, WA 98001-3718 | 2018-08-03 |
1033500418 | Tyneshia C Alexander | Recreation Therapist | 10427 19th Ave Se Apt B, Everett, WA 98208-4261 | 2015-02-06 |
1013353432 | Jacqueline Marie Smith | Recreation Therapist | 2616 Erwin Ave, Dupont, WA 98327-8758 | 2013-05-13 |
1871600478 | Vicki M Booth | Recreation Therapist | 9900 Veterans Dr, A-116-dom, Tacoma, WA 98493 | 2006-08-23 |
1720008337 | Mary Ann Varnum | Recreation Therapist | 9001 22nd Avenue Nw, Seattle, WA 98117-2712 | 2006-07-20 |
1396716650 | Morgan Caley | Recreation Therapist | 3015 Limited Ln Nw, Suite B, Olympia, WA 98502-2638 | 2006-01-26 |
1376141374 | Karl Beall | Recreation Therapist | 1707 Cooks Hill Rd, Centralia, WA 98531-9071 | 2020-10-12 |
1033736285 | Trevor C Miller | Recreation Therapist | 1601 E 4th Plain Blvd, Vancouver, WA 98661-3713 | 2020-07-02 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.